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Alabama rates for HCPCS 97163

Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.06 / $95.07 / $136.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $81.18 / $127.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $57.99 / $78.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $96.55 / $113.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $70.00 / $105.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $76.06 / $100.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.76 / $74.55 / $86.13